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During which of the five steps int he nursing process does the nurse determine whether
outcomes of care are achieved?
A. Implementation
B. Evaluation
C. Planning
D. Analysis ✔Correct Answer-B. Evaluation
When considering the nursing process, the word "observe" is to "assess" as the word "explore"
is to which of the following words?
A. Plan
B. Analyze
C. Evaluate
D. Implement ✔Correct Answer-B. Analyze
Which statement is related to the concept that is central to the nursing process?
A. It is dynamic rather than static.
B. It focuses on the role of the nurse.
C. It moves from the simple to the complex.
D. It is based on the patient's medical problem. ✔Correct Answer-A. It is dynamic rather than
static.
Which word best describes the role of the nurse when using the nursing process to meet the
needs of the patient holistically?
A. Teacher
B. Advocate
C. Surrogate
D. Counselor ✔Correct Answer-B. Advocate
Which word is most closely associated with scientific principles?
A. Data
B. Problem
C. Rationale
D. Evaluation ✔Correct Answer-C. Rationale
A pebble dropped into a pond causes ripples on the surface of the water. Which part of the
nursing diagnosis is directly related to this concept?
A. Defining Characteristics
B. Outcome criteria
C. Etiology
, D. Goal ✔Correct Answer-C. Etiology
A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the
nursing process is associated with this nursing intervention?
A. Planning
B. Analysis
C. Evaluation
D. Implementation ✔Correct Answer-D. Implementation
Which action reflects the assessment step of the nursing process?
A. Taking a patient's apical pulse rate every 2 hours after being admitted for an episode of chest
pain
B. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid restriction
C. Examining a patient for injury after a patient falls in the bathroom
D. Obtaining a patient's respiratory rate after a nebulizer treatment ✔Correct Answer-C.
Examining a patient for injuring after a patient falls in the bathroom
A nurse is caring for a patient with a fever. Which is a well-designed goal for this patient?
A. The patient will have a lower temperature.
B. The patient will be taught how to take an accurate temperature.
C. The patient will maintain fluid intake adequate to prevent dehydration.
D. The patient will be given aspirin every eight hours whenever necessary. ✔Correct Answer-
C. The patient will maintain fluid intake adequate to prevent dehydration.
Which should the nurse do during the evaluation step of the nursing process?
A. Set the time frames for goals.
B. Revise a plan of care.
C. Determine priorities.
D. Establish outcomes. ✔Correct Answer-B. Revise a plan of care.
During which step of the nursing process does determining which actions will be employed to
meet the needs of a patient occur?
A. Implementation
B. Assessment
C. Planning
D. Analysis ✔Correct Answer-C. Planning
Which information supports the appropriateness of a nursing diagnosis?
A. Defining characteristics
B. Planned intervention
C. Diagnostic statement
D. Related risk factors ✔Correct Answer-A. Defining characteristics
Which is the primary goal of the assessment phase of the nursing process?